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Medicare and the elderly


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#1 knittingkitten

Posted 28 December 2012 - 07:21 PM

If an elderly relative lives in a nursing home, is their oxygen covered by Medicare?

#2 melaine

Posted 28 December 2012 - 07:36 PM

For high level (nursing home) residents in Victoria - oxygen, and oxygen related equipment is provided by the nursing home.

eta - it's my understanding that it is covered without extra charge because it is a service that high level facilities must provide when needed.

Edited by melaine, 28 December 2012 - 07:39 PM.


#3 4kidlets

Posted 28 December 2012 - 07:55 PM

When I worked in Aged Care in SA, residents' oxygen in residential care was covered at no charge to themselves.

#4 knittingkitten

Posted 28 December 2012 - 08:04 PM

My relative is in NSW.

I've been told that the oxygen he's on is very expensive? Would that be if he uses a portable tank?

#5 4kidlets

Posted 28 December 2012 - 10:36 PM

Oxygen cylinders are very expensive, most residents and people at home would only use the small portable cylinders for going out - for everyday life at home they would use a concentrater, a large machine thing on wheels which plugs into power point and wheels from room to room converting room air into concentrated oxygen then delivered t o person via nasal  piece.The nursing home I worked at owned 3 or 4  of these. People at home would pay a small monthly rental from domicillary care or similar home care organisation

#6 rosiebird

Posted 28 December 2012 - 10:40 PM

Home oxygen is covered in very specific medical circumstances which unfortunately do not cover all the people who would benefit from it. If their oxygen level is >60mmmHg after a 6min walk off oxygen or they smoke, they are not eligible for home O2.

#7 jojonbeanie

Posted 28 December 2012 - 10:58 PM

It varies from state to state. In Victoria oxygen is provided by the State Wide Equipment Program (SWEP)

#8 hayleymumof3

Posted 28 December 2012 - 11:13 PM

QUOTE
I've been told that the oxygen he's on is very expensive? Would that be if he uses a portable tank?


Who told you that it was very expensive?

When my grandfather was dying he had really bad bedsores and the hospital got a special air bed in for him(it moved so it didn't apply pressure to his sore or create any more) the warden was grumbling about how the air bed was costing the hospital $500 per day to cover.  My Aunt asked him what the problem was as it wasn't like it was coming out of his paycheck that shut him up real quick as did the stern words from the NUM of the ward my grandfather was on.

#9 knittingkitten

Posted 29 December 2012 - 08:05 AM

QUOTE (hayleymumof3 @ 29/12/2012, 12:13 AM) <{POST_SNAPBACK}>
Who told you that it was very expensive?

I'm sorry your family had that experience at such a difficult time.

Another relative, who is unreliable at best, told me. The older relative is on one of the nursing home's concentrators that a PP described. He doesn't currently use a portable tank.  He doesn't smoke (for over 10 years now).

I am considering paying for a portable tank for him.


#10 melaine

Posted 29 December 2012 - 08:08 AM

QUOTE (Two Sunflowers @ 29/12/2012, 12:29 AM) <{POST_SNAPBACK}>
(hope you don't mind if I jump in, OP?)  Mum will need oxygen at home at some point (Dr said she could have it now if she wanted but she has decided not just yet).  She is in Vic.  Will she have to pay for oxygen at home and how much would she likely have to pay. She has Chronic obstructive pulmonary disease (COPD) - hasn't smoked for 30 years.

Ed to say she is living in her own home



It will be funded by the State wide oxygen program - provided she meets the medical criteria (they will measure blood oxygen levels at rest and after a 6 minute walk test with and without oxygen).



#11 4kidlets

Posted 29 December 2012 - 09:38 AM

QUOTE
Another relative, who is unreliable at best, told me. The older relative is on one of the nursing home's concentrators that a PP described. He doesn't currently use a portable tank.  He doesn't smoke (for over 10 years now).

I am considering paying for a portable tank for him.


So you are saying he is already on a concentrator at home but doesnt have any portable oxygen - does he manage to go out without oxygen or he is housebound and doesnt go out?

You should be able to buy a small portable oxygen tank for him to use on outings - it will be x expense initially and how long it will last will depend on how often and for how long he uses it.
Most people on home concentraters do use portable oxygen for outings.

But if he is in a nursing home, the nursing home should provide the portable oxygen as well as the concentrater - did where I worked in SA anyway.

#12 melaine

Posted 29 December 2012 - 09:46 AM

QUOTE (4kidlets @ 29/12/2012, 10:38 AM) <{POST_SNAPBACK}>
So you are saying he is already on a concentrator at home but doesnt have any portable oxygen - does he manage to go out without oxygen or he is housebound and doesnt go out?

You should be able to buy a small portable oxygen tank for him to use on outings - it will be x expense initially and how long it will last will depend on how often and for how long he uses it.
Most people on home concentraters do use portable oxygen for outings.

But if he is in a nursing home, the nursing home should provide the portable oxygen as well as the concentrater - did where I worked in SA anyway.



Some people only need oxygen at certain times of the day, or for a certain number of hours a day and do not need, or are not eligible for portable oxygen. If they live at home and are not eligible - then they can choose to fund portable oxygen cylinders themselves.

If in a nursing home, then it should be paid for by the nursing home.

OP - is your relative classed as high level care or low level care? That may make a difference (low level care residents may be required to fund their own portable oxygen IF they do are not eligible for funding (based on blood oxygen levels).

#13 Star276

Posted 29 December 2012 - 09:47 AM

Its a horrible thing to age, be unwell and have to worry about finances too.  Mum was in a high care nursing home and had oxygen intermittently.  Hers was a port in the wall behind her bed with a mask.  There was no charge.  We hired then bought an electric air mattress that moved/vibrated to aid pressure/bedsores.  That made her more comfortable but at approximately $2000 it was not something the nursing home would provide.

#14 knittingkitten

Posted 29 December 2012 - 11:04 AM

QUOTE (4kidlets @ 29/12/2012, 10:38 AM) <{POST_SNAPBACK}>
So you are saying he is already on a concentrator at home but doesnt have any portable oxygen - does he manage to go out without oxygen or he is housebound and doesnt go out?


He lives in a nursing home and doesn't need the oxygen for short trips out (ie 2-3 hours) as long as he's not walking/exerting himself. He is not bed bound but requires assistance toileting and showering.

The other relative is saying that she is out of pocket because she is helping pay for his oxygen. If this is the case then I want to assist. But I suspect it's not as she has a history of being flexible with the truth.

If I rang the nursing home would they give out that type of information?

#15 countrymel

Posted 29 December 2012 - 11:12 AM

Ring the nursing home.

They may be charging an extra fee if he isn't classified under 'high care'... but I would be STUNNED if it was 'really expensive'.

My Dad's NH is 'really expensive' well it would be - but as they work out the fee contribution in tandem with the resident's ability to pay it ie: pension/super /rental income etc.... it doesn't ever work out to be 'really expensive' for me.

#16 FloralArrangement

Posted 29 December 2012 - 11:40 AM

If there is a cost I would suggest you pay the nursing home directly especially in regards to your comment about the family member.


#17 4kidlets

Posted 29 December 2012 - 02:32 PM

QUOTE
If I rang the nursing home would they give out that type of information?




I cant see why they wouldn't give out general information - this is the way oxygen costs in our facility work..... rather than Mr X has x costs.

Then if there would be a cost you can arrange to pay it for him.


I agree with PP about paying nursing home directly for his oxygen costs if there are any, rather than paying other relative - you should also get itemised receipts, of course.

#18 knittingkitten

Posted 29 December 2012 - 03:06 PM

QUOTE (4kidlets @ 29/12/2012, 03:32 PM) <{POST_SNAPBACK}>
I agree with PP about paying nursing home directly for his oxygen costs if there are any, rather than paying other relative - you should also get itemised receipts, of course.

this is what I intend to do. The other family member has asked me directly for money to cover costs but I'm very wary of her. I want to help but I don't want to be taken for a ride either.

#19 hayleymumof3

Posted 30 December 2012 - 12:14 PM

knittingkitten- Is he a Veteran?  If he is all cost are covered by Veterans Affairs.

#20 knittingkitten

Posted 30 December 2012 - 03:03 PM

No, not a veteran. I'll give the home a call on Monday and report back, just in case the information is useful for others.




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